EVALUATION OF PANRETINA PHOTOCOAGOLATION TREATMENT IN DIABETIC RETINOPATHY PATIENTS IN RSUD DR. H. ABDUL MOELOEK
DOI:
https://doi.org/10.29303/jku.v12i1.867Keywords:
laser photocoagulation, diabetic retinopathy, visual acuityAbstract
Background: Laser retinal photocoagulation is the main treatment for diabetic retinopathy. This study aims to assess the outcome of laser photocoagulation in patients with severe Non Proliferative Diabetic Retinopathy (NPDR) and Proliferative Diabetic Retinopathy (PDR).
Methods: A cross-sectional study with patients with diabetic retinopathy at RSUD dr. H. Abdul Moeloek who underwent complete retinal photocoagulation laser. Assessments were made of visual acuity and disease stability. Non-parametric statistical analysis was using chi-square test.
Results: The study subjects consisted of 30 people with 23% in the PDR stage. The female sex is the most sufferer by 63.3% and the average duration of suffering from DM was 5.15 + 3.3 years. Stability of the disease was obtained by 60% and stability of visual acuity by 63.3%. The difference in visual acuity based on the degree of post-laser diabetic retinopathy was statistically significant (p value = 0.004)
Conclusion: PRP laser treatment for diabetic retinopathy patients at RSUDAM resulted in good stability and visual acuity results and was comparable to the results of other studies in Indonesia.
Keywords: laser photocoagulation, diabetic retinopathy, visual acuity
References
2. Meyer, C. hki.org. Retrieved June 2, 2020, from https://www.hki.org/hki-helps-streamline-vision-screenings-people-diabetes-indonesia/
3. Sasongko, M.B., et al., Prevalence of Diabetic Retinopathy and Blindness in Indonesian Adults With Type 2 Diabetes. Am J Ophthalmol, 2017. 181: p. 79-87.
4. Maulana, D.C.E, Sovani, I,. P ola rujukan pasien retinopati diabetik di pusat rujukan tersier Pusat Mata masional Rumah Sakit Mata Cicendo Indonesia tahun 2016-2019. Departemen Ilmu Kesehatan Mata. 2020
5. Setyoputri, N.T., Soelistijo, S.A., Sasono, W. Prevalensi dan karakteristik pasien retinopati diabetik di poli mata RSUD dr. Soetomo. Juxta. 2017.9.(1):p. 20-5
6. Wibawa, I.M.S., Budhiastra, P., Susila, N.K.N. Karakteristik pasien retinopati diabetik di Rumah Sakit Umum Pusat Sanglah Denpasar periode 2016-2017. e-jurnal medika, 2018.7.(11):p. 1-6.
7. Shrestha S, Karki DB, Byanju R, Malla OK, Shrestha SM, Pradhananga CL. Visual outcome of laser treatment in diabetic retinopathy. Kathmandu Univ Med J (KUMJ). 2007 Jan-Mar;5(1):p. 72-80
8. Evans JR, Michelessi M, Virgili G. Laser photocoagulation for proliferative diabetic retinopathy. Cochrane Database of Systematic Reviews 2014, Issue 11.
9. WHO. Vision 2020 the right to sight. Global Initiative for the elimination of
avoidable blindness. Action plan 2006-2011.
10. Regillo C, Holekamp N, Johnson MW, Kaiser PK, Schubert HD, Spaide R, et
al. Retina and Vitreous. In: Basic and Clinical Science Course. San Francisco:
American Academy of Ophthalmology, 2011:337-47.
11. Stefansson E. Ocular oxygenation and the treatment of diabetic retinopathy.
Surv ophthalmol 2006;51(4):364-80.
12. Ben-Shlomo G, Belokopytov M, Rosner M, Dubinsky G, Belkin M, Epstein Y,
et al. Functional deficits resulting from laser-induced damage in the rat retina.
Lasers Surg Med 2006;38(7):689-94.
13. Bressler NM, Beck RW, Ferris FL, 3rd. Panretinal photocoagulation for
proliferative diabetic retinopathy. N Engl J Med 2011;365(16):1520-6.
14. Paulus YM, Jain A, Gariano RF, Stanzel BV, Marmor M, Blumenkranz MS, et
al. Healing of retinal photocoagulation lesions. Invest Ophthalmol Vis Sci
2008;49(12):5540-5.
15. Iskandar E, Musa I. Effectiveness of Panretinal Photocoagulation in Treatment of Diabetic Retinopathy. Ophthalmol Ina. 2015. 41(1).8-13